Ascension Life Support Training Programs AHA Training Center Roster Submission

Submission form for Ascension Life Support Training American Heart Association (AHA) Life Support Courses. Note: Submission of course documentation is NOT a request to purchase eCards.


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Course documentation must use current AHA forms and must be in a SINGLE file and in the following order:


  • Roster
  • Evaluation (if applicable)
  • eLearning Certificate (Example: HeartCode (ACLS, BLS, PALS) or Heartsaver Online) Certificate - Must be included with all eLearning/ blended learning courses
  • Student exam answer sheets and skills performance sheets for students who did not or have not yet met course completion requirements


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Ascension Instructor AHA Provider eCard Purchasing:


If you need to purchase eCards for your course, visit the Ascension National Training Center Instructor Support website to complete your purchase via the link below.





AHA Instructor Renewal Requirements:

  • Instructors are required to teach a minimum of four (4) courses within their two (2) year cycle; with of the four courses having been monitored by a Training Center Faculty (TCF).
  • For questions on renewal requirements, refer to page(s) 23 and 24 of the 2020 AHA Instructor manual or contact your Training Center Coordinator.

Review updated sections below regarding updates to course documentation submission.

Submitter Contact Information

Course Information

What type of course was taught?

Select or enter value
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Which Training Center are you currently aligned with?

Select or enter value
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Instructor Type*

Enter "N/A" is this was a Friends and Family course.

Instructor Information

Enter first and last name of instructor(s). If more than three instructors, enter additional names in comments box.

Example: Jane Smith

Enter comments relative to submission.

Roster Submission

Submissions must be in PDF format only. ONLY use American Heart Association (AHA) documentation for courses. Current course paperwork may be found on the AHA Instructor Network. - https://www.ahainstructornetwork.org/.


If you are unable to locate the correct documentation, contact your TCC for assistance.


Course documentation must use current AHA forms and must be in a SINGLE file and in the following order:

  • Roster
  • Evaluation (if applicable)
  • eLearning Certificate (Example: HeartCode (ACLS, BLS, PALS) or Heartsaver Online) Certificate - Must be included with all eLearning/ blended learning courses
  • Student exam answer sheets and skills performance sheets for students who did not or have not yet met course completion requirements


For questions on documentation submission requirements, contact the Life Support Team at AscensionLifeSupport@ascension.org.

Name your file using this naming format: Date, Course Type, Training Site (if applicable) Example: 10-01-2018 BLS Provider HeartCode AISD.pdf

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